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Table 1 Advantages and disadvantages

From: Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures

Advantages Disadvantages
Minimally-invasive approach with minimal soft tissue damage Danger of injury to the A./V. epigastrica superficialis and A./V. circumflexa ilium superficialis
No extensive soft tissue dissection necessary Danger of perforation of the abdominal muscles and urinary bladder
Short operation time (average total duration of procedure 30-45 min) Decreased stability compared to open reduction and plate fixation in pure open-book injuries
Immediate postoperative mobilisation Possibly interposed soft tissue within the fracture site cannot be removed
No contact with other surgical wounds Fracture fragments causing neural or organ compression cannot be removed
No open pin tracts compared to the external fixateur Implant removal always in operative theatre (compared to external fixateur)
Minimal blood loss  
No restrictions regarding patient anatomy; easy use even in morbidly obese patients  
No communication of implants with intra-abdominal compartment  
Biomechanically proven superior stability compared to external fixateur [20]  
Further diagnostics such as computed tomography are not interfered with  
Reversible procedure: Salvage procedures are still available